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N Z?N MAY 2 0 W <br />SHERBURNE COUNTY HI <br />STORICAL SOCIETY OR <br />13122 First Street, Becker, MN 553o$ <br />C; <br />DEED OF GIFT <br />Name: 4Z;,jEfz. 9—+L-if <br />Address: 13 S o - Wp-� <br />City: <br />v E 2 State: MN Zip: 55 3 3O <br />Phone: home: <br />work: -7 3 - C-55 - l�oo <br />I own the personal property described below and desire to give said personal property to the Museum. I do hereby irrevocably <br />and unconditionally give and transfer to the Museum all right, title, and interest, including all copyright, trademark, and related <br />interests, in and to the following described property. <br />I agree that this gift may be used for research, exhibition, or otherwise disposed of according to the Sherburne County Historical <br />Society policies and porcedures, except for those restrictions, if any, that have been approved by Sherburne County Historical <br />Society in advance and which are outlined below. <br />I understand that it is my responsibility, not the Society's, to establish the value of the gift if it is intended as a tax deduction. <br />Copies of the appraisal should be submitted to Sherburne County Historical Society for its records. <br />Description of Gift: <br />• ,4 F 9F FFM <br />(9T� tiiT�ES ��--DiNC, . `�+IE FL+-�Cnt-iEr1T 1►�1C1-Jr�Es A -FZt-C - "05XiC <br />G i t--i AA_ V.s i Tit 1 tv 5cA,i r'C t 0a 3 g;� lam. 4-CE : •• I � 2 � ". <br />t..tSk ,c>oS: L. = 40.5" x NJ s Z7. S" <br />By my signature below I accept the foregoing conditions and acknowledge reading any attached information. <br />Dated: <br />s/y/s <br />G �r'ai �� �Gr/�•� <br />Donor/agent <br />Donor/agent <br />THE GIFT DESCRIBED ABOVE IS ACCEPTED FOR <br />We <br />SHERBURNE COUNTY HISTORICAL SOCIETY <br />By•(/.4 /�� �ZAKA704, <br />n title <br />/' ' /9' '-2-� <br />date <br />Accession#2Co5-p26 <br />